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Individual

MISS DONNA LEE GIBBAS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1740 CENTURY CIR NE, STE-14, ATLANTA, GA 30345-3020
(404) 634-7556
(404) 320-3447
Mailing address
1740 CENTURY CIR NE, STE-14, ATLANTA, GA 30345-3020
(404) 634-7556
(404) 320-3447

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GA15768
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00015122D
GA
Enumeration date
09/07/2005
Last updated
07/08/2007
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